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What Causes Bleeding During Urination?
Dear Doctor,My sister has suffered with the cervical cancer since three years. she has taken treatment from Mr. Gopinath, Vijayawada and underwent to chemotheraphy. after that she is doing her with from 2 years. now she saw blood when urination from clitoris hole. when she started urination the blood also coming from the upper hole. what is the cause. kindly suggest us
Thu, 27 Oct 2016
Hallow Dear,
With the history of cervical cancer, she has to be always on the guard for such complications of the cancer.
She had undergone surgery for cervical cancer which was followed by chemotherapy. Surgery removes the main cancerous lesion to the extent possible with whatever involved lymph nodes found. Chemotherapy takes care of the remaining cells of the cancer.
Still it is possible that all the cancer cells do not get destroyed by this treatment and may start growing again involving the tissue(s) where they have reached. It seems that your sister has developed metastasis in the bladder. Cervix being so close to the urinary bladder, some cancerous tissue may directly involve the bladder. Bladder involvement by cancer can cause the bleeding through the urine.
Please get Ultrasonography and PET scan done for your sister. This can tell you whether the urinary bladder is involved and whether any cancer cells are still remaining in her body. Accordingly she will need further management. Involvement of urinary bladder is stage 4 of the cancer. She may be managed by palliative therapy only.
Please report to your Gynaecologist and/or Oncologist ASAP.
I hope this gives you message.
Dr. Nishikant Shrotri
With the history of cervical cancer, she has to be always on the guard for such complications of the cancer.
She had undergone surgery for cervical cancer which was followed by chemotherapy. Surgery removes the main cancerous lesion to the extent possible with whatever involved lymph nodes found. Chemotherapy takes care of the remaining cells of the cancer.
Still it is possible that all the cancer cells do not get destroyed by this treatment and may start growing again involving the tissue(s) where they have reached. It seems that your sister has developed metastasis in the bladder. Cervix being so close to the urinary bladder, some cancerous tissue may directly involve the bladder. Bladder involvement by cancer can cause the bleeding through the urine.
Please get Ultrasonography and PET scan done for your sister. This can tell you whether the urinary bladder is involved and whether any cancer cells are still remaining in her body. Accordingly she will need further management. Involvement of urinary bladder is stage 4 of the cancer. She may be managed by palliative therapy only.
Please report to your Gynaecologist and/or Oncologist ASAP.
I hope this gives you message.
Dr. Nishikant Shrotri
I find this answer helpful
Hello and welcome to HMC.
It is important to know what stage of Cervical Cancer was she treated for and what treatment, if she received only chemotherapy or also radiotherapy.
After this is clear, the bleeding can be originated in the urinary tract (Blood comming out of the urethra when urinatig) or the vaginal area, this two types of bleeding are usually confused.
If it comes from the urethra (where urine comes out), she can be experiencing a urinary tract infection or a long term complication of radiation to the pelvis (if she received radiotherapy), this bleeding is seen in women that have received radiation therapy for cervical cancer, and is due to an inflammation of the bladder.
if the blood is coming from the vagina then a recurrence of the disease (if she is disease free) or a progression of the disease (if she still has cancer) must be ruled out. She needs a vaginal exploration to see the origin of the bleeding.
Lastly another complication from cervical cancer can be a fistula or communication due to tumoral activity between the vaginal area and urinary tract (bladder or urethra). this will cause bleeding form both zones.
In conclusion the real origin of the bleeding has to be determined and this can be done with a full pelvic and vagina exploration.
It is important to know what stage of Cervical Cancer was she treated for and what treatment, if she received only chemotherapy or also radiotherapy.
After this is clear, the bleeding can be originated in the urinary tract (Blood comming out of the urethra when urinatig) or the vaginal area, this two types of bleeding are usually confused.
If it comes from the urethra (where urine comes out), she can be experiencing a urinary tract infection or a long term complication of radiation to the pelvis (if she received radiotherapy), this bleeding is seen in women that have received radiation therapy for cervical cancer, and is due to an inflammation of the bladder.
if the blood is coming from the vagina then a recurrence of the disease (if she is disease free) or a progression of the disease (if she still has cancer) must be ruled out. She needs a vaginal exploration to see the origin of the bleeding.
Lastly another complication from cervical cancer can be a fistula or communication due to tumoral activity between the vaginal area and urinary tract (bladder or urethra). this will cause bleeding form both zones.
In conclusion the real origin of the bleeding has to be determined and this can be done with a full pelvic and vagina exploration.
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